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WITNESSES OATH/AFFIRMATION We, the undersigned witnesses, both of legal age, hereby affirmed under oath that we are

not privy to the above transaction and we are personally known to the Notary Public or we have identified ourselves to the Notary Public through our respective I.D.S, we know personally the principals and as witnesses affirm their identities in the above documents and they affixed their respective signatures in the above document in our presence. WITNESS OUR HANDS this th day of 201_ in the City of ________, Philippines.

________________________&_________________________________ WITNESS WITNESS Addresses: ____________________________&____________________________________ ID ___________________________________&____________________________________ ACKNOWLEDGMENT REPUBLIC OF THE PHILIPPINES CITY OF This th day of NAME ) )S.S.

, 201_ in the City of _______ the following principals/parties identified as: VALID ID ID NO.

( ) Appears in person before me and presents an integrally complete document ; ( ) ______________or the parties are attested to be personally known to me or ( ) Principal identified himself/herself/themselves to me through his/her/their I.D.s bearing his/her/their picture and signature, which is competent evidence of identification allowed by the rules; ( ) the parties were identified by a witness with a current identification document issued by an official agency bearing the photograph and signature of the witness; ( ) ____________ was/were identified under oath or affirmation of two credible witnesses neither of whom is a privy to the instrument, document, or transaction who each personally knows the principal and shows to me documentary evidence of their identification. ( ) the principal represents to the me that the signature on the document was voluntarily affixed by him/her for the purposes stated in the instrument or document, declares that he/she has executed the document as his/her free and voluntary act and deed, ( ) __________acts in a particular representative capacity, that he/she has the authority to sign in that capacity. WITNESS MY HAND AND SEAL.

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